consumer info
SIM primary care capitation proposal gets another tepid reception
This week, SIM presented to the Healthcare Cabinet their proposal to capitate primary care, initially for Medicare members, but eventually for all state residents. The proposal is to move primary care to capitated “bundles” – one for basic primary care services and a voluntary, supplemental payment for expanded activities such as infrastructure and HIT and…
Read MoreYNHH answers latest questions about controversial primary care proposal
Monday Yale-New Haven Health System and their community health center partners answered the latest set of questions from the state Office of Health Strategy (formerly OHCA) to their controversial plan to move primary care services for 28,000 low-income New Haven residents out of the current neighborhood sites to Log Wharf. Under the proposal, patients’ care…
Read MoreCT needs to monitor ACOs
Accountable Care Organizations (ACOs) are a growing part of CT’s healthcare landscape. But if you’ve never heard of them, you’re not alone. ACOs are large health systems run by providers, often including hospitals, doctors, home health, nursing homes, and other providers. It is estimated that 15 to 20% of CT residents have already been enrolled…
Read MoreCTNJ: ACOs may be the new HMOs, And they need a watchdog
Care for a growing number of Connecticut residents is being directed by an Accountable Care Organization (ACO) and very few patients know it. Read more
Read MoreMedicare penalizing fifteen CT hospitals for patient safety problems this year
This year, fifteen Connecticut hospitals will receive 1% less payment from Medicare because of infections and patient injures, according to Kaiser Health News. Nationally, 800 hospitals are penalized this year. Five of the CT fifteen in Connecticut are part of the 110 hospitals nationally that have been penalized every year for patient safety since 2015…
Read MoreMore concerns about YNHH, community health center plans for New Haven primary care
Updated 11:30 am A letter from the City of New Haven’s Department of Services for Persons with Disabilities to the state and new Yale Daily News article and one from the New Haven Register highlight transportation issues with YNHH and the two city community health centers’ plans for primary care. Plans to use Uber to…
Read MoreYNHH, clinics respond to state questions on primary care plan
Yesterday Yale-New Haven Hospital responded to questions from the state prompted by community and advocate concerns at a recent public hearing about their controversial plans to shift primary care for 28,500 people. Technically patients at the new YNHH site would be attributed to the Fairhaven and Cornell Scott-Hill health centers for billing purposes but would…
Read MoreICER seeking new members of comparative effectiveness panel
The Institute for Clinical and Economic Review (ICER) has opened nominations for their New England Comparative Effectiveness Public Advisory Council. The council, one of three in the US, is composed of leading clinicians, patient and public representatives, methodologists, and health economists. The group meets three times each year to consider ICER effectiveness reports on the…
Read MoreHealth Affairs: CHC, Inc. eConsult program saved on specialty care and improved access
This month’s Health Affairs includes a study on the effectiveness of eConsults for Medicaid members needing specialty care. Specialty referrals are rising, especially for Medicaid members, who often experience challenges getting that care. In response to this barrier for their patients, in 2011 Connecticut’s CHC, Inc. created a system to link primary and specialty care…
Read MoreDisability advocates register serious concerns with SIM primary care capitation plan
On Friday, thirty consumers and advocates for people with disabilities sent a letter to Vicki Veltri and Mark Schaefer, CT’s SIM officials, expressing their concerns with SIM’s proposal to capitate primary care for everyone in CT. The signers are concerned about the potential to deny needed care, especially for people with complex medical conditions. Capitation…
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